id author title date pages extension mime words sentences flesch summary cache txt cord-312063-5c2w2ct1 McCollum, Lauren Cognitive Impairment Evaluation and Management 2020-08-10 .txt text/plain 5699 336 43 To diagnose and treat a patient presenting with a cognitive complaint, the clinician uses a systematic approach that identifies the presence and severity of the impairment, the cognitive domains involved, the likely underlying causes, and the most appropriate interventions. Cases of early-onset, rapidly progressive, or otherwise atypical cognitive impairment (eg, prominent language or social-behavioral symptoms with little or no memory loss) should be referred to a specialist. 22 Thus, structural brain imaging, in the absence of objective cognitive impairment, is often clinically uninterpretable, because mild atrophy could be age related, and a normal result does not rule out the small possibility of occult disorder. Although it is common for patients to require pharmacologic interventions, nonpharmacologic strategies (ie, behavioral interventions, environmental modifications, and lifestyle changes) are first line for management of dementia-related neuropsychiatric symptoms. Risk of dementia and mild cognitive impairment in older people with subjective memory complaints: meta-analysis ./cache/cord-312063-5c2w2ct1.txt ./txt/cord-312063-5c2w2ct1.txt